{"title":"Reattempted Suicide Within One Year in Fars Province, Iran.","authors":"Sulmaz Ghahramani, Marziyeh Farid, Mehrdad Sharifi, Kamran Bagheri Lankarani","doi":"10.1177/00912174251374225","DOIUrl":null,"url":null,"abstract":"<p><p>ObjectiveSuicide reattempts, reflecting ongoing vulnerability, are common among individuals with prior attempts, yet data from Iran is limited. This study explored reattempts among all suicide attempters who survived in the Fars province during the year 2023 to inform prevention strategies.MethodsThis prospective study analyzed all registered suicide attempts and death in the Fars during 2023, using a comprehensive database, the Integrated Suicide Data Monitoring and Registration System. Cases were determined and reviewed over 352 days to identify reattempts. Variables included demographic data, attempt history, and occasion-related factors. Statistical analyses involved descriptive statistics, chi-square, <i>t</i>-tests, and logistic regression to examine factors predicting suicide reattempts using SPSS, with significance set at <i>P</i> < .05. Ethical approval was secured from the relevant committee.ResultsAmong all cases, 577 individuals (6.1%) reattempted suicide out of a total of 9472 attempters (failed or succeeded). Gender distribution among re-attempters was similar. Single individuals had higher reattempt rates. Although re-attempters had a lower fatality rate than first-time attempters, the difference was not statistically significant. The average interval between attempts was 5.2 weeks, and 75% occurred within 15 weeks. Logistic regression revealed that being single significantly increased reattempt odds (OR = 1.57, 95% CI: 1.17-2.11, <i>P</i> = .003), while other factors such as age, gender, and day of the week were not significant.ConclusionOur findings indicated that single individuals were more vulnerable to suicide reattempts, underscoring the need for targeted and timely interventions. Being alert in the high-risk post-attempt period is crucial. Future studies should use longitudinal and qualitative methods to explore the complex interplay of personal, social, and systemic factors predicting suicide reattempt.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251374225"},"PeriodicalIF":1.3000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Psychiatry in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00912174251374225","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
ObjectiveSuicide reattempts, reflecting ongoing vulnerability, are common among individuals with prior attempts, yet data from Iran is limited. This study explored reattempts among all suicide attempters who survived in the Fars province during the year 2023 to inform prevention strategies.MethodsThis prospective study analyzed all registered suicide attempts and death in the Fars during 2023, using a comprehensive database, the Integrated Suicide Data Monitoring and Registration System. Cases were determined and reviewed over 352 days to identify reattempts. Variables included demographic data, attempt history, and occasion-related factors. Statistical analyses involved descriptive statistics, chi-square, t-tests, and logistic regression to examine factors predicting suicide reattempts using SPSS, with significance set at P < .05. Ethical approval was secured from the relevant committee.ResultsAmong all cases, 577 individuals (6.1%) reattempted suicide out of a total of 9472 attempters (failed or succeeded). Gender distribution among re-attempters was similar. Single individuals had higher reattempt rates. Although re-attempters had a lower fatality rate than first-time attempters, the difference was not statistically significant. The average interval between attempts was 5.2 weeks, and 75% occurred within 15 weeks. Logistic regression revealed that being single significantly increased reattempt odds (OR = 1.57, 95% CI: 1.17-2.11, P = .003), while other factors such as age, gender, and day of the week were not significant.ConclusionOur findings indicated that single individuals were more vulnerable to suicide reattempts, underscoring the need for targeted and timely interventions. Being alert in the high-risk post-attempt period is crucial. Future studies should use longitudinal and qualitative methods to explore the complex interplay of personal, social, and systemic factors predicting suicide reattempt.
期刊介绍:
The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...